CMS Price Transparency Data

Blood test, lipase

Facility: Ann & Robert H Lurie Childrens Hospital of Chicago

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $201
  • Cash Discount Price: $176
  • vs. Medicare Baseline: 29.17x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Ann & Robert H Lurie Childrens Hospital of Chicago is $201. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $176. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 29.17x the Medicare baseline. Located in 225 E Chicago Ave, Box 140, Chicago, IL.
Cash / Self-Pay
$176

Average discount available for prompt cash payment at this facility.

Insurance Median
$201

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6.89

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.89 (100%)
Cash / Self-Pay: $176 (2554%)
Insurance Median: $201 (2917%)
Cash: $176 (2554% of Medicare)
Ins. Median: $201 (2917% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.89 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2917% of the Medicare baseline (a markup of 2817%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicare (plans) $43 - $2,656 624%
UnitedHealthcare $84 - $92 1219%
Mercycare Health $93 1350%
Cigna $105 - $178 1524%
Blue Cross Blue Shield $109 - $201 1582%
Aetna $126 - $197 1829%
Beacon Health Options $126 1829%
La Rabida Childrens Hospital $126 1829%
Centegra $151 2192%
Independent Physicians At Mercy $151 2192%
Advanced Physicians Association Ipa $176 2554%
Health Plus $176 2554%
Imagine Health $176 2554%
Methodist First Choice $176 2554%
Northwest Community Healthcare $176 2554%
Presence Health Partners $176 2554%
St. Francis $176 2554%
Ui Health $176 2554%
West Suburban Health Providers $176 2554%
Shriners Hospital $188 2729%
Swedish Covenant Physician Partners $188 2729%
American Psych Systems $201 2917%
Health Alliance $201 2917%
Macneal Health $201 2917%
Magellan $201 - $900 2917%
Healthlink Inc. $207 3004%
Cofinity $213 3091%
Hfn Inc $213 - $226 3091%
Humana $213 3091%
Principal Healthcare $213 3091%
St. Elizabeth $213 3091%
First Health $221 3208%
Healthstar $221 3208%
Preferred Health Network $221 3208%
Sagamore Health Network $221 3208%
Beech Street $226 3280%
Benchmark Health $226 3280%
Employer'S Coalition On Health $226 3280%
Private Health Care System $226 3280%
Security Health Plan $226 3280%
Swedish American $226 3280%
Wellmark/Healthnetwork $231 3353%
Health Smart $238 3454%
Integrated Health Plan $238 3454%
Multiplan $238 3454%
National Provider Network $238 3454%
Wea Insurance Group $238 3454%
Unicare $3,678 - $8,500 53382%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 225 E Chicago Ave, Box 140, Chicago, IL 60611
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens